Musculoskeletal and Neurological ATI
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is assessing a client with a recent stroke. Which finding requires immediate intervention?
A. Facial droop on one side
B. Slurred speech
✔✔ C. Sudden new-onset confusion
D. Weakness in one arm
A client with Parkinson’s disease is having difficulty swallowing. What is the most appropriate
nursing action?
A. Encourage fluids with each bite
✔✔ B. Consult speech therapy for a swallow evaluation
C. Place the client in a supine position
D. Administer all medications with applesauce
A nurse is caring for a client with myasthenia gravis. Which medication should the nurse expect
to administer?
1
,A. Diazepam
✔✔ B. Pyridostigmine
C. Gabapentin
D. Atropine
A nurse is caring for a client in Buck’s traction. Which action by the nurse is appropriate?
✔✔ A. Allow weights to hang freely at all times
B. Remove traction weights every 4 hours
C. Elevate the head of the bed 90 degrees
D. Turn the client side-to-side every hour
A client with multiple sclerosis reports blurred vision and fatigue. What is the priority nursing
intervention?
✔✔ A. Cluster care to allow for rest
B. Increase fluid intake
C. Provide high-calorie snacks
D. Elevate the head of the bed
2
, A client who had a lumbar puncture is complaining of a headache. What should the nurse do
first?
✔✔ A. Have the client lie flat in bed
B. Encourage fluids
C. Administer acetaminophen
D. Apply an ice pack to the neck
A nurse is providing instructions to a client following total hip replacement. Which statement by
the client indicates understanding?
✔✔ A. “I should use a raised toilet seat.”
B. “I can bend to pick things up from the floor.”
C. “Crossing my legs is okay once I start walking.”
D. “I’ll sleep on my operative side to strengthen it.”
A client is suspected of having increased intracranial pressure. Which sign should the nurse
expect?
A. Bradycardia and hypotension
✔✔ B. Widening pulse pressure and decreased level of consciousness
C. Tachycardia and fever
3
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is assessing a client with a recent stroke. Which finding requires immediate intervention?
A. Facial droop on one side
B. Slurred speech
✔✔ C. Sudden new-onset confusion
D. Weakness in one arm
A client with Parkinson’s disease is having difficulty swallowing. What is the most appropriate
nursing action?
A. Encourage fluids with each bite
✔✔ B. Consult speech therapy for a swallow evaluation
C. Place the client in a supine position
D. Administer all medications with applesauce
A nurse is caring for a client with myasthenia gravis. Which medication should the nurse expect
to administer?
1
,A. Diazepam
✔✔ B. Pyridostigmine
C. Gabapentin
D. Atropine
A nurse is caring for a client in Buck’s traction. Which action by the nurse is appropriate?
✔✔ A. Allow weights to hang freely at all times
B. Remove traction weights every 4 hours
C. Elevate the head of the bed 90 degrees
D. Turn the client side-to-side every hour
A client with multiple sclerosis reports blurred vision and fatigue. What is the priority nursing
intervention?
✔✔ A. Cluster care to allow for rest
B. Increase fluid intake
C. Provide high-calorie snacks
D. Elevate the head of the bed
2
, A client who had a lumbar puncture is complaining of a headache. What should the nurse do
first?
✔✔ A. Have the client lie flat in bed
B. Encourage fluids
C. Administer acetaminophen
D. Apply an ice pack to the neck
A nurse is providing instructions to a client following total hip replacement. Which statement by
the client indicates understanding?
✔✔ A. “I should use a raised toilet seat.”
B. “I can bend to pick things up from the floor.”
C. “Crossing my legs is okay once I start walking.”
D. “I’ll sleep on my operative side to strengthen it.”
A client is suspected of having increased intracranial pressure. Which sign should the nurse
expect?
A. Bradycardia and hypotension
✔✔ B. Widening pulse pressure and decreased level of consciousness
C. Tachycardia and fever
3
